Individual
DR. COLLIN TERREZ MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 AIRLINE DR, SUITE #200, BOSSIER CITY, LA 71111-1610
(318) 261-9438
Mailing address
2300 AIRLINE DR, SUITE #200, BOSSIER CITY, LA 71111-1610
(318) 261-9438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6708
LA
1223G0001X
General Practice Dentistry
6708
LA
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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